Individual provider Active NPI

Elizabeth R Weatherford, M.D.

  • Diagnostic Radiology Physician
  • Tuscumbia, AL
National Provider Identifier
1831146901
Registry record updated Jan 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
00015778 Issued in AL
Practice address
1404 E Avalon Ave
Tuscumbia, AL 35674-1773
Phone
(256) 381-4400
Fax
(256) 381-4783
NPI assigned
May 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 00015778 AL Primary

Addresses

Primary practice location

1404 E Avalon Ave
Tuscumbia, AL 35674-1773

Mailing address

PO Box 298
Florence, AL 35631-0298
Phone (256) 767-7494

Other identifiers 17

IdentifierTypeStateIssuer
515-31111OtherALBCBS-401 COLLEGE FLO, AL
009939493MedicaidAL
51515569OtherALBCBS
51509167WEAOtherALBCBS
51536614OtherALBCBS-WINFIELD, AL
51537209OtherAL2030 CHESTNUT, MONTGOMERY
051509167MedicaidAL
631053058013OtherALTRICARE
009939496MedicaidAL
51536676OtherALBCBS-ARDMORE, AL
51536677OtherALBCBS-ATHENS, AL
51537005OtherALBCBS-RUSSELLVILLE 15225
515-38566OtherALBCBS-CENTRE, AL
009939494MedicaidAL
009939497MedicaidAL
51536678OtherALBCBS-CALERA, AL
51536928OtherALBCBS-4831 SPARKMAN DR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00015778ALMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Singing River Healthcare, LLC PastSince Jul 24, 2017 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294185600000",
    "number": "1831146901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 298",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356310298",
            "telephone_number": "256-767-7494",
            "fax_number": "256-760-8432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1404 E AVALON AVE",
            "city": "TUSCUMBIA",
            "state": "AL",
            "postal_code": "356741773",
            "telephone_number": "256-381-4400",
            "fax_number": "256-381-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEATHERFORD",
        "first_name": "ELIZABETH",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2011-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AL",
            "license": "00015778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-401 COLLEGE FLO, AL",
            "identifier": "515-31111",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009939493",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51515569",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51509167WEA",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-WINFIELD, AL",
            "identifier": "51536614",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "2030 CHESTNUT, MONTGOMERY",
            "identifier": "51537209",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051509167",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "631053058013",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009939496",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-ARDMORE, AL",
            "identifier": "51536676",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-ATHENS, AL",
            "identifier": "51536677",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-RUSSELLVILLE 15225",
            "identifier": "51537005",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-CENTRE, AL",
            "identifier": "515-38566",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009939494",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009939497",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-CALERA, AL",
            "identifier": "51536678",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS-4831 SPARKMAN DR",
            "identifier": "51536928",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tuscumbia, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.